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“Also, we are now able to assign calculated risk to specific comorbidities as each relates to a particular condition.” The Centers for Medicare and Medicaid Services (CMS) is demanding more scientifically rigorous approaches to risk adjustment. Value-based healthcare will require providers and payers to align quality and financial incentives through payment model advances such as new Medicare Quality Payment Program (QPP) . In an April 5 presentation on Episode-Based Cost Measure Development, Medicare identified risk adjustment as one of the five essential cost measure components to improve quality patient care. Meaningful comparisons of outcomes cannot be made without risk-adjustment, said Al Amato, PT, MBA, FOTO President. FOTO is continuously improving risk adjustment to account for factors outside the clinicians control that can influence outcomes and help avoid penalizing clinicians treating more complex or less healthy patients. The FOTO Outcomes Management System consists of the largest outcomes database and registry focused on risk adjusted, patient centered results of care. The new risk adjustment models were developed for orthopedic conditions using rigorous statistical methods and massive ample sizes ranging from 20,000 to 200,000 for each condition. The new models build on the past by adding new categories to help factor in the multitudes of variables that influence outcomes of patient care that are beyond the clinicians control: previous treatment, post-surgery type, use of medication, exercise habits, payer categories, and the relative influence of up to 30 comorbidities. Two webinars will be offered on the new risk adjustment models on April 27 or May 2. About FOTO FOTO is a Knoxville, TN based corporation that has been continuously improving solutions to efficiently measure and reliably report functional outcomes for the rehabilitation industry for over 25 years.